1. Patient X is diagnosed with constipation. As a knowledgeable nurse, whichnursing intervention is appropriate for maintaining normal bowel function?A. Assessing dietary intakeB. Decreasing fluid intakeC. Providing limited physical activityD. Turning, coughing, and deep breathing2. A 12-year-old boy was admitted to the hospital two days ago due tohyperthermia. His attending nurse, Dennis, is quite unsure about his plan of care.Which of the following nursing interventions should be included in the care planfor the client?A. Room temperature reductionB. Fluid restriction of 2,000 ml/dayC. Axillary temperature measurements every 4 hoursD. Antiemetic agent administration

Constipation may result from faulty dietary habits, sedentary life style, certain medications,…

Answered: 1. Patient X is diagnosed with…

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ISBN:9781337660549

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Chapter10: Cpt Anesthesia

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Problem 5MC

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An older adult arrives at the emergency department with reports of severe nausea and vomiting large amounts of liquid brown emesis at home. The client's vital signs are a temperature of 96.4 'F, heart rate 124 beats/minute, respirations of 16 beats/minute, and blood pressure of 75/38 mmHg. Which intervention is the most important for the nurse to implement? A. Maintain strict intake and output B. Monitor blood glucose level C. Keep the head of the bed 45 degrees D. Assess warmth of extremeties
A nurse is developing a plan of care related to preventionof pressure ulcers for residents in a long-term care facility.Which action would be a priority in preventing a patient fromdeveloping a pressure ulcer?a. Keeping the head of the bed elevated as often as possibleb. Massaging over bony prominencesc. Repositioning bed-bound patients every 4 hoursd. Using a mild cleansing agent when cleansing the skin
1. A nurse is caring for an adolescent who is 1 hour post-operative followingan appendectomy. Which of the following findings should the nurse report to theprovider?a. Heart rate 63 / minuteb. muscle rigidityc. temperature 36.4 Celsius (97.5 Fahrenheit)d. abdominal pain
A nurse is assessing a client who has acute pancreatitis. Which of the following findings should the nurse expect?A.HypertensionB.Hyperactive bowel soundsC.Peripheral edemaD.Periumbilical discoloration
The nurse is planning care for a patient with cirrhosis. For which of the condition the nurse would place the patient on bleeding precautions?A. EncephalopathyB. Low vitamin KC. Elevated liver enzymesD. Hepatorenal syndromeExplain please
A nurse is assessing a client with suspected gout. Which of the following would support a diagnosis of gout? Select all that apply 1. Elevated serum uric acid level 2. A swollen, red joint 3. Reports of moderate fatigue 4. Distal extremities cool totoucho5. Pain associated with movement of the affected extremity 6. Intolerance of dairy products
PLEASE USE YOUR OWN WORD Constipation can be an issue for infants, toddlers and school aged children, and therefore, an issue for the childs parents. What interventions, both pharmacological and non-pharmacological, can the nurse suggest to the parents of a child with constipation not caused by an underlying medical condition?
1. To palpate for presence of inguinal hernia in a male client, the nurse needs to instruct the client to: a.Take a deep breath and hold for a moment b.Bear down or cough out c.Flex the hips and knee d.Exhale forcibly and hold for a moment 2. A client has just had an inguinal herniorrhaphy. Which of the following instructions would be MOST appropriate to include in his discharge plan? a.Maintain a high Fowler’s position while resting. b.Turning, coughing and deep breathing every 2 hours. c.Applying a truss before the client ambulates. d.Applying an ice bag to the scrotum. 3. Mr. Diaz a 50-year-old taxi driver was admitted to the medical- surgical unit with rectal bleeding and severe rectal pain. He was diagnosed with hemorrhoids for which he will be treated medically. This treatment will MOST likely include which of the following? a.A high fiber diet. b.A drink of one glass of water with each meal. c.A daily laxative regimen d.A well-balanced diet with cooked vegetables and fruits.…
A nurse is caring for an obese 62-year-old patient with arthri-tis who has developed an open reddened area over his sacrum. What is a priority nursing diagnosis for this patient?a. Imbalanced Nutrition: More Than Body Requirementsrelated to immobilityb. Impaired Physical Mobility related to pain and discomfortc. Chronic Pain related to immobilityd. Risk for Infection related to altered skin integrity

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